인공 고관절 수술 환자에서 지지간호중재가 고관절 기능, 불안 및 불확실성에 미치는 효과
Effects of Supportive Nursing Care Program on Hip Function,Anxiety and Uncertainty for Patients with Total Hip Arthroplasty
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초록
Purpose: This study was to evaluate the effect of supportive nursing care program for patients with total hip arthroplasty. Methods: Forty-two patients with total hip arthroplasty were enrolled in this study from September,20, 2011 to January, 3, 2012. The participants were assigned to one of two groups: Twenty-six subjects in the experimental group were provided with supportive nursing care program which comprised of 6 nurse visits pre and post operation and 4 follow-up phone calls after discharge. Another 26 subjects received conventional nursing care program as a control group. Hip function, anxiety, and uncertainty were evaluated before the intervention, and 5 weeks after completion of the intervention. The analysis included descriptive statistics,Chi-square test, and t-test by SPSS 18.0. Results: Hip function was significantly increased in the experimental group (t=-3.31, p<.002). Anxiety and uncertainty group was significantly lower in the experimental group (t=7.12, p<.001 and t=4.66, p<.001). Conclusion: The results of this study indicate that the supportive care intervention for patients receiving total hip arthroplasty could be utilized as a nursing intervention to improve hip function and to reduce anxiety and uncertainty of patients receiving total hip arthroplasty.
Abstract
Purpose: This study was to evaluate the effect of supportive nursing care program for patients with total hip arthroplasty. Methods: Forty-two patients with total hip arthroplasty were enrolled in this study from September,20, 2011 to January, 3, 2012. The participants were assigned to one of two groups: Twenty-six subjects in the experimental group were provided with supportive nursing care program which comprised of 6 nurse visits pre and post operation and 4 follow-up phone calls after discharge. Another 26 subjects received conventional nursing care program as a control group. Hip function, anxiety, and uncertainty were evaluated before the intervention, and 5 weeks after completion of the intervention. The analysis included descriptive statistics,Chi-square test, and t-test by SPSS 18.0. Results: Hip function was significantly increased in the experimental group (t=-3.31, p<.002). Anxiety and uncertainty group was significantly lower in the experimental group (t=7.12, p<.001 and t=4.66, p<.001). Conclusion: The results of this study indicate that the supportive care intervention for patients receiving total hip arthroplasty could be utilized as a nursing intervention to improve hip function and to reduce anxiety and uncertainty of patients receiving total hip arthroplasty.
참고문헌 (27)
- Chang, J. D, "Dislocation after total hip arthroplasty", The Journal of the Korean Hip Society, 14(2), pp.128~134 (2002)
- Cho, M. J., "A study on the effect of supportive nursing care to anxiety reduction of the patient immediately before surgery in the operating room", Journal of Korean Academic Society of Adult Nursing, 13(4), pp.632~640 (2001)
- Cho, M. W., "The effect of providing a visual information on anxiety and pain in patients with artificial joint replacement", 석사, pp.2002
- Cho, O. H., "Uncertainty, anxiety and coping with mastectomy for breast cancer", Journal of Korean Academy of Nursing, 30(4), pp.1006~1017 (2000)
- 조원정, "사회적 지지와 우울정도가 관상동맥중재술을 받은 노인의 자가간호 이행에 미치는 영향", 노인간호학회지, 12(2), pp.119~130 (2010), 노인간호학회
- Cohen, J., "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates
- Eom, S. B., "A study on the effect of exercise training program on the function of a total hip in a patient with a total hip replacement after a surgery", 석사, pp.2008
- Giraudet-Le Quintrec, J. S., "Positive effect of patient education for hip surgery : A randomized trial", Clinical Orthopaedics and Related Research, 414, pp.112~120 (2003)
- Harris, W. H., "Clinical results using the Mueller-Charnley total hip prosthesis", Clinical Orthopedics and Related Research, 86, pp.95~101 (1972)
- Husby, V. S., "Early maximal strength training is an efficient treatment for patients operated with total hip arthroplasty", Archives of Physical Medicine and Rehabilitation, 90(10), pp.1658~1667 (2009)
- Kagan, I., "The effect of preoperative uncertainty and anxiety on short-term recovery after elective arthroplasty", Journal of Clinical Nursing, 17(5), pp.576~583 (2008)
- 김준식, "인공 고관절 전치환술 후 탈구", Hip and Pelvis, 23(2), pp.89~94 (2011), 대한고관절학회
- Kim, J. T., "The relationships between statge-trait anxiety and sociality", 석사, pp.1978
- Kim, M. J., "Effects of the supportive program on the chronic arthritis patients", The Journal of Korea Community Health Nursing Academic Society, 14(2), pp.203~215 (2000)
- Kim, N. S., "The effects of preoperative education on anxiety and uncertainty with hip arthroplasty just before operation", 석사, pp.2011
- 김윤경, "지지적 간호중재가 개심술 환아 어머니의 불안 및 간호만족도에 미치는 효과", 성인간호학회지, 19(3), pp.459~469 (2007), 성인간호학회[DOI]
- Kurtz, S., "Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002", The Journal of Bone and Joint Surgery, 87(7), pp.1487~1497 (2005)
- Lee, J. H., "The effect of supportive nursing care on the degree of perceived powerlessness in intensive care unit patients", 석사, pp.1996
- Mishel, M. H., "The measurement of uncertainty in illness", Nursing Research, 30(5), pp.258~263 (1981)
- 박영주, "지지 간호중재 효과에 대한 메타분석", Child Health Nursing Research, 7(2), pp.225~235 (2001), 아동간호학회
- Poultsides, L. A., "In-Hospital surgical site infections after primary hip and knee arthroplasty incidence and risk factors", The Journal of Arthroplasty, 28(3), pp.385~389 (2013)
- Seok, J. H., "Effect of supportive nursing intervention on anxiety, depression, hopelessness, self-esteem, self-concept of operative patient with head and neck cancer", 석사, pp.2000
- 송은규, "인공관절 치환물의 진화", 대한의사협회지, 54(3), pp.313~324 (2011), 대한의사협회
- Spielberger, C. D., "Anxiety : Current trends in theory and research" (1972), Academic press
- Unlu, E., "The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty : A randomized conrolled study", Clinical Rehabilitation, 21(8), pp.706~711 (2007)
- Yoo, M. C., "Periprosthetic fracture of the femur after total hip arthroplasty", The Journal of the Korean Hip Society, 12(2), pp.152~161 (2000)
- Yoon, J. W., "The effect of supportive nursing intervention on patient's response of anxiety during emergency room staying", The Journal of Korea Community Health Nursing Academic Society, 14(1), pp.100~113 (2000)